Opportunities to Make Wisconsin The Healthiest State October 2015

Introduction Improving broad health outcomes in Wisconsin- how long and how well people live- requires improvement in specific health indicators spanning several health factor areas. The model to the right, from the County Health Rankings, shows four modifiable health factor areas that influence health outcomes.

Overview of the Report Each indicator is presented in a consistent format, comparing the values for: Wisconsin the United States the best and worst states, and Minnesota, our healthier neighboring state

For illustration, here is a graphic depicting one of the indicators: Wisconsin United States Best Worst Minnesota Data source: 2013 Small Area Income and Poverty Estimates

Tobacco Use Data source: 2013 Behavioral Risk Factor Surveillance System

Tobacco Use Date source: Preventing Chronic Disease, CDC

Diet and Exercise Data source: 2014 CDC: Division of Nutrition, Physical Activity, and Obesity

Diet and Exercise Data source: National Survey of Children’s Health

Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

Diet and Exercise Data source: 2015 County Health Rankings

Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

Diet and Exercise Data source: 2014 Division of Nutrition, Physical Activity, and Obesity, CDC

Diet and Exercise Data source: 2012 County Health Rankings

Diet and Exercise Data source: 2010 USDA Food Atlas

Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

Diet and Exercise Data source: 2013 Behavioral Risk Factor Surveillance System

Alcohol and Drug Use Data source: 2013 Kids Count Data Center, Annie E. Casey Foundation

Alcohol and Drug Use Data source: 2013 Behavioral Risk Factor Surveillance System

Sexual Activity Data source: 2013 Kaiser Family Foundation

Sexual Activity Data source: 2013 STD Surveillance, CDC

Sexual Activity Data source: 2013 STD Surveillance, CDC

Sexual Activity Data source: 2013 STD Surveillance, CDC

Access to Care Data source: 2014 America’s Health Rankings

Access to Care Data source: 2012 County Health Rankings

Access to Care Data source: 2013 Kaiser Family Foundation

Access to Care Data source: 2013 Behavioral Risk Factor Surveillance System

Access to Care Data source: 2014 America’s Health Rankings

Access to Care Data source: 2014 America’s Health Rankings

Access to Care Data source: 2014 National Provider Identification File

Access to Care Data source: 2014 America’s Health Rankings

Access to Care Data source: Trust for America’s Health

Quality of Care Data source: 2013 Agency for Healthcare Research and Quality

Quality of Care Data source: 2012 Dartmouth Atlas of Health Care

Quality of Care Data source: 2013 America’s Health Rankings

Education Data source: 2013 “Education Counts.” Editorial Projects in Education. Edcounts.org.

Education Data source: 2013 Kids Count Data Center, Annie E. Casey Foundation

Education Data source: 2013 American Community Survey

Education Data source: 2013 American Community Survey

Education Data source: 2013 American Community Survey

Employment Data source: 2014 Bureau of Labor Statistics

Income Data source: 2013 Small Area Income and Poverty Estimates

Income Data source: 2013 Kids Count Data Center, Annie E. Casey Foundation

Income Data source: 2013 American Community Survey

Family and Social Support Data source: 2013 American Community Survey

Family and Social Support Data source: 2013 CDC Wonder

Family and Social Support Data source: 2013 Corporation for National and Community Service

Community Safety Data source: 2013 CDC Wonder

Community Safety Data source: 2013 CDC Wonder

Community Safety Data source: 2013 The Federal Bureau of Investigation

Community Safety Data source: 2013 Insurance Institute for Highway Safety: Highway Loss Data Institute

Community Safety Data source: 2013 NHTSA’s National Center for Statistics and Analysis

Air and Water Quality Data source: 2014 America’s Health Rankings

Air and Water Quality Data source: County Health Rankings

Housing and Transit Data source: 2013 American Community Survey

Housing and Transit Data source: 2013 American Community Survey

Housing and Transit Data source: 2013 American Community Survey

Housing and Transit Data source: 2013 American Community Survey

Housing and Transit Data source: 2013 American Community Survey

On 10 measures, Wisconsin scored better than the U.S. average and Minnesota Percent of adults meeting recommended levels of physical activity Percent of population with limited access to healthy foods Percent of adults eating fruits one or more times per day Syphilis rate (per 100,000 population) Percent of children (0-17) without health insurance

(continued) On 10 measures, Wisconsin scored better than the U.S. average and Minnesota: Agency for Healthcare Research and Quality Meter Score for Overall Quality of Care Percent of female Medicare enrollees (67-69) who receive mammography screening Percent of adults (18-24) with a high school diploma Percent of total population living in overcrowded housing (> 1.5 occupants/room) Cost-burdened renters (rent costs and utilities exceed 30% of income)

On 18 measures, Wisconsin scored worse than the U.S. average: Percent of homes with a smoking ban Percent of adults who are obese or overweight Percent of adults eating vegetables one or more times per day Percent of adolescents (12-17) who use illicit drugs Percent of adults who are excessive drinkers Dentists per 100,000 population Mental health providers per 100,000 population State level public health spending per person Percent of children ages 3 and 4 enrolled in preschool

(continued) On 18 measures, Wisconsin scored worse than the U.S. average: Percent of adults (25 and older) with a college degree Median household income Percent of total population living alone Suicide rate (per 100,000 population) Deaths from falls (per 100,000 population) Percent of total population that uses seatbelts Water quality Percent of workers (16 and older) who drive to work alone Homes built before 1960

Funding for this project was provided by the Wisconsin Partnership Program at the UW School of Medicine and Public Health.

Contact Information University of Wisconsin Population Health Institute Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health 575 WARF Building 610 Walnut Street Madison, WI